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CAPTCHA
1. Which one statement below is true for elderly people?
*
A) They do not feel pain.
B) They have no sense of taste.
C) They have no interest in sex.
D) They have decreased muscle strength.
2. Blood circulation in elderly people is best when: (Choose best answer)
*
A) Their clothes are clean and dry.
B) They drink more fluids.
C) When their rooms are kept at least 70 degrees.
D) Their activity is increased.
3. Which statement is true for the elderly?
*
A) They need large doses of medicine to help them sleep.
B) Their long term memory is better than their short term memory.
C) They need a quiet environment with no activity.
D) It is better if they stay in bed all day.
4. The loss of fatty tissue makes the elderly more likely to get:
*
A) Bedsores.
B) Broken hips.
C) Cancer.
D) Constipation.
5. Oil glands in the elderly produce less oil. This makes them more likely to have:
*
A) Dry, itchy, flaky skin.
B) Body odor.
C) To urinate more frequently.
D) Acne or pimples.
6. Why would a nurse’s assistant walk a blind person around in his room identifying / locating furniture and equipment?
*
A) To improve the patient’s sense of touch.
B) To build the patient’s confidence in the nursing assistant.
C) To comfort the patient.
D) To help the patient become oriented to his/her new environment.
7. A patient states, “I hate not being able to care for myself”. The best response from the assistant would be:
*
A) “It must be hard when you have been used to taking care of yourself.”
B) “Don’t feel that way.”
C) “I would like to take care of you.”
D) “Don’t say that, it makes me unhappy.”
8. Why might a patient ask to be read to from the bible?
*
A) The patient has some religious needs that are not being met.
B) The patient doesn’t like silence.
C) The patient needs to be read to.
D) The patient doesn’t read.
9. A female patient reports that she has been molested. The incident was not witnessed. Which of the below are true?
*
A) A patient has no rights.
B) Since no one saw it, the charges must be dropped.
C) She has the right to have her complaint investigated.
D) Older people make things up for attention.
10. What should you do when a patient constantly calls for help or craves attention?
*
A) Ignore the patient.
B) Take away the call light.
C) Ask yourself if the patient’s needs are truly being met.
D) Tell your supervisor to change your assignment because the patient is impossible.
11. When dealing with an angry patient, the most important thing to remember is:
*
A) To get angry back.
B) Some people respond to their anxiety with anger.
C) Take everything personally.
D) Ignore it.
12. The best way to talk with someone who is hard of hearing is:
*
A) Write things down.
B) Speak at the top of your voice.
C) Stand so the patient can see your face and speak slowly and clearly.
D) Avoid talking with the patient.
13. The most important skill to use when talking with the elderly is:
*
A) Nod a lot.
B) Try to speed the conversation along.
C) Use very small words.
D) Listen carefully when they talk and be very patient.
14. When a patient passes away, it is best to let others:
*
A) Talk only of those who are living.
B) Have the opportunity to voice their feelings about the death.
C) Ignore all conversations.
D) Change the subject.
15. If giving a bed bath, the only part of the body being exposed is the part being washed because:
*
A) It prevents the patient from becoming chilled.
B) It makes the bath quicker.
C) It reminds the patient that they are being bathed.
D) It saves linen.
16. The best way to test bath water temperature is:
*
A) Put the patient’s hand in the water.
B) Add ice to the water.
C) Only use cold water to bathe patients.
D) Test the water temperature on your hand first.
17. The important thing to remember when bathing a patient is:
*
A) Change the water after bathing each body part.
B) Rinse off the soap thoroughly.
C) Use alcohol on skin after a bath.
D) Only use one wash cloth and one towel.
18. What should you NOT do to support stockings?
*
A) Clean legs and feet before putting on stockings.
B) Prevent wrinkles in stockings.
C) Roll and knot tops of stockings to keep them up.
D) Put stockings on before getting out of bed.
19. What is the best way to pull someone up in bed?
*
A) Have the patient bend knees and push heels into the mattress while you pull them up.
B) Have the patient to go limp while you pull them up.
C) Have the patient to hold on to the mattress while you pull them up.
D) Roll the patient onto their side, and then pull them up.
20. What is the best way to prevent bed sores?
*
A) Keep the top sheet tucked in.
B) Keep the bottom sheet wrinkle free, clean, and dry.
C) Change sheets once a week.
D) Use only wool sheets to cover patient.
21. When a patient has a poor appetite, it is best to:
*
A) Encourage them to eat only at meal times.
B) Offer small portions of easily digested food 4-6 times a day.
C) Feed the patient yourself.
D) Offer the patient junk food only.
22. A clear liquid diet includes:
*
A) Milk.
B) Tomato juice.
C) Ice Cream.
D) Apple Juice.
23. Foley bags should be kept:
*
A) Below the level of the bladder.
B) On the floor.
C) On the bed.
D) 3 feet above the level of the bladder.
24. The most important thing to remember when caring for a female patient with a catheter is:
*
A) Put lotion around the catheter.
B) Pull on the catheter occasionally to make sure it is still in.
C) Keep the area around the catheter clean.
D) Tape the catheter to the patient’s bottom.
25. How should a patient lay while receiving an enema?
*
A) On their right side.
B) On their left side.
C) On their stomach.
D) On their back.
26. A radial pulse should be counted:
*
A) For an hour.
B) While watching respirations.
C) For 30 seconds and multiply results by two.
D) For 2 minutes and divide results by four.
27. Why don’t you use your thumb to take a patient’s pulse?
*
A) Thumbs are too big.
B) Thumbs aren’t as sensitive as fingers.
C) You may feel our own pulse instead.
D) It may hurt the patient.
28. A patient is to be weighed every day. Which of these is most important?
*
A) Balance the scale after weighing the patient.
B) Weigh the patient at the same time every day.
C) Have the same person weigh the patient.
D) Take vitals before weighing the patient.
29. When inserting a thermometer into the rectum, it should be inserted:
*
A) All the way.
B) Until resistance is felt.
C) Until the patient tells you to stop.
D) About one (1) inch.
30. What is the temperature that the arrow is pointing to?
*
A) 101.3
B) 101.6
C) 103
D) 106
31. Respirations can be counted more accurately if:
*
A) The patient is unaware you are counting.
B) The patient lies down.
C) The patient counts the respiration themselves.
D) The patient breathes using their mouth.
32. Respirations are counted as:
*
A) Each breath in/out as one respiration.
B) Each breath in/out as separate.
C) The patient eats their lunch.
D) The patient walks around.
33. Which of these are not considered to be fluid intake?
*
A) Soup
B) Ice Cream
C) Mashed Potatos
D) Jell-O
34. It is best to record a patient’s intake:
*
A) Every four hours.
B) At the beginning of your shift.
C) As soon as the tray is brought in.
D) As soon as the patient drinks the liquids brought to them.
35. What does this intake amount to (30cc = 1oz)? (1) 5oz. Cup of juice. (1) 8oz. Cup of coffee. (1) 10oz. Bowl of soup.
*
A) 810cc
B) 690cc
C) 1000cc
D) 1200cc
36. A patient states that they get dizzy when you are getting them out of bed. You should:
*
A) Rub their feet.
B) Help them to stand up anyway.
C) Put a cool cloth on their head.
D) Support them in a sitting position and wait to see if the dizziness goes away.
37. The most important thing to remember when oxygen is in use is:
*
A) The patient can have no visitors.
B) Keep a fan blowing on the patient.
C) See that no one lights a match.
D) Keep the air conditioning off.
38. What should an assistant do if a patient talks about suicide?
*
A) Ignore it.
B) Report it immediately.
C) Tell the patient’s family.
D) Change the subject.
39. When should it be most appropriate for an assistant to ask the RN to restrain a patient?
*
A) When the patient is attempting to pull out their IV.
B) When a patient refuses to get dressed.
C) When a patient throws their water on the floor.
D) When a patient continues to pace the halls.
40. When putting up the side rails on a patient’s bed, the patient states, “I hate these side rails; they make me feel like a baby.” The best thing for the nursing assistant to do is:
*
A) Tell the patient to get used to it.
B) Tell the RN in charge how the patient feels.
C) Put the rails down.
D) Call the family and tell them to come in and sit with the patient.
41. When giving a blind patient a tray, it is important to:
*
A) Leave them alone.
B) Tell them where the food is located on the tray.
C) Encourage them to let you feed them.
D) Protect the bed from spills.
42. When working with the elderly who have disabilities, it is best to:
*
A) Leave them alone.
B) Do everything for them.
C) Allow them to be as independent as possible.
D) Try and rush through tasks.
43. What is the purpose of passive range of motion exercises for a paralyzed stroke patient?
*
A) To raise the patient’s spirits.
B) To give the patient something to do.
C) To restore the use of a limb.
D) To prevent contractors of the limb.
44. The best method for preventing bed sores for a patient that is on complete bed rest is:
*
A) Fluff their pillows frequently.
B) Position them every two hours.
C) Keep their knees bent.
D) Keep them sitting up at all times.
45. While giving a patient a back rub, you notice a red area at the base of their spine. After telling the RN in charge, you would:
*
A) Rub the area thoroughly and position them so that no pressure is put on the affected area.
B) Avoid rubbing the affected area.
C) Place a dressing over the affected area.
D) Put corn starch on the affected area.
46. When providing foot care for someone with diabetes, which of the following would you NOT do?
*
A) Clean the toenails.
B) Cut the toenails.
C) Soak their feet in a basin of warm water.
D) Put lotion on their feet after drying them.
47. When a patient has diarrhea, it is important to:
*
A) Gently wash around the rectum and make sure it is clean after each BM.
B) Make sure the patient lies on the bedpan for at least 30 minutes.
C) Massage their abdomen.
D) Place one or two cotton balls inside their rectum.
48. If you find a patient having a seizure, you should:
*
A) Put a cool wash cloth on the patient’s head.
B) Turn the patient on their stomach.
C) Elevate the patient’s head.
D) Stay with the patient and call for help.
49. If you walk into a room and find a patient lying on their back vomiting, the first thing you do is:
*
A) Change the bed linen.
B) Rinse the patient’s mouth with water.
C) Turn the patient onto their side.
D) Put a towel under their head.
50. A patient is vomiting bright red blood. What is the most important thing to do?
*
A) Elevate the patient’s head and knees.
B) Stay with the patient and call for the RN.
C) Leave the patient and go look for help.
D) Empty the emesis basin.
51. Why does a patient with Parkinson’s disease not eat as much as they need to?
*
A) Swallowing and chewing is difficult for them.
B) They don’t like to eat.
C) They are looking for attention.
D) The food doesn’t taste good.
52. A patient that is unconscious and near death may still be able to:
*
A) Feed themselves.
B) Turn themselves.
C) Hear you talk.
D) Call for help.
53. People who have arthritis need to exercise daily to maintain mobility, but they also may have severe joint pain. The best response to a patient that refuses to exercise is:
*
A) “The doctor ordered you, so you have to do it.”
B) “The pain can’t be that bad.”
C) “Okay, never mind the exercise.”
D) “We’ll do exercises slowly, and stop to rest often. This way some of the pain may be avoided.”
54. A RN asks you to get a bed pan from the storeroom, but you can’t remember where the storeroom is. It is best to:
*
A) Ask the RN where the storeroom is.
B) Tell someone else to get the bedpan.
C) Tell the RN to get it themselves.
D) Leave for the storeroom and hope that you can find it.
55. Which of these best describes good body mechanics?
*
A) Carry heavy objects with arms extended.
B) Bend your knees when lifting objects from the floor.
C) Bend from the waist when lifting an object from the floor.
D) Pull using your back muscles only.
56. You are assigned to sit in a room with a confused patient. Before you go off shift, you should:
*
A) Tie the patient to the bed.
B) Go to the RN’s station and tell them you are leaving.
C) Stay with the patient and have someone notify another staff member to relieve you.
D) Have another patient watch your patient while you get relief staff.
57. A patient requests that you cut some corns off their toes. You should:
*
A) Soak them and then cut them off.
B) Tell the family to bring scissors.
C) Tell the patient not to wear their shoes.
D) Tell the RN in charge that the patient has some corns that are bothering them.
58. People often communicate without saying anything.
*
A) True
B) False
59. A family member asks you what is wrong with another patient. Your best response would be:
*
A) Tell the family member to ask the patient directly.
B) Ask why they want to know.
C) Tell them what is wrong with the patient.
D) Tell them the information is confidential.
60. You over hear a nursing assistant tell a patient, “If you don’t stop yelling, I won’t feed you.” Which is true about this remark?
*
A) Threats are a good way to get a patient to cooperate.
B) Sometimes patient’s need encouragement to control their behavior.
C) Threats are considered a form of elderly abuse.
D) It’s okay to threaten a difficult patient.
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